Document Detail


Doppler assessment between pathological examination of the placenta and late fetal intrauterine demise.
MedLine Citation:
PMID:  21485724     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The relation between placental histopathological examination, umbilical cord pathology and abnormal umbilical and cerebral Doppler as a predictor of stillbirth at later gestations was evaluated.
MATERIALS AND METHODS: A retrospective study of 55 monofetal pregnancies complicated with late fetal death from 2005-2008 was conducted at the Institute of Gynecology and Obstetrics, Bel-grade.
STATISTICAL ANALYSIS: chi-square likelihood ratio test and Spearman's coefficient correlation.
RESULTS: Intrauterine fetal demise occurred most frequently at term -32.7% of the time. Changes in the umbilical artery resistance index were not significantly different from placental histopathology findings, p = 0.363. There was a significant correlation between neonatal birth weight and weeks of gestation at delivery, r = 0.796; p = 0.001.
CONCLUSION: Umbilical artery Doppler is a relatively poor predictor of stillbirths due to placental dysfunction. It seems that neonatal birth weight is the best predictor of late stillbirth in high-risk pregnancies.
Authors:
I Babovic; J Tadic; S Plesinac; Z Radojicic; D Plecas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical and experimental obstetrics & gynecology     Volume:  38     ISSN:  0390-6663     ISO Abbreviation:  Clin Exp Obstet Gynecol     Publication Date:  2011  
Date Detail:
Created Date:  2011-04-13     Completed Date:  2011-06-07     Revised Date:  2014-07-30    
Medline Journal Info:
Nlm Unique ID:  7802110     Medline TA:  Clin Exp Obstet Gynecol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  43-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Birth Weight / physiology
Blood Flow Velocity / physiology
Female
Fetal Death / pathology*,  ultrasonography*
Humans
Placenta / pathology*,  ultrasonography*
Pregnancy
Retrospective Studies
Ultrasonography, Doppler / methods
Umbilical Arteries / pathology,  ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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